(Circulation. 2008;118:785-791.)
© 2008 American Heart Association, Inc.
Special Report |
From the National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Cardiovascular Diseases (G.P.), Bethesda, Md; Weill Cornell Medical Center (R.D.), New York, NY; University of Gent (B.L.), Ghent, Belgium; Oregon Health & Science University (C.M.), Portland, Ore; University of Texas Medical School at Houston (D.M.); University of Pennsylvania School of Medicine (R.P.), Philadelphia, Pa; Mount Sinai School of Medicine (F.R.), New York, NY; New York University School of Medicine (D.R.), New York, NY; Shriners Hospital for Children (L. Sakai), Portland, Ore; Cleveland Clinic (L. Svensson), Cleveland, Ohio; Medical University of South Carolina (A.W.), Charleston, SC; Johns Hopkins University–Bayview Proteomics Center (J.V.E.), Baltimore, Md; and Howard Hughes Medical Institute, Johns Hopkins University School of Medicine (H.D.), Baltimore, Md.
Correspondence to Gail Pearson, MD, ScD, National Heart, Lung, and Blood Institute, National Institutes of Health, Division of Cardiovascular Diseases, 6701 Rockledge Dr, Room 8104, Bethesda MD 20892. E-mail pearsong@mail.nih.gov
Key Words: aortic aneurysm Marfan syndrome research
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
| Introduction |
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50 000 deaths annually in the United States.1 In contrast to abdominal aortic aneurysm, thoracic aortic aneurysm, particularly in the ascending segment, commonly occurs in young individuals in the absence of identifiable environmental risk factors. Marfan syndrome (MFS) is the most common syndromic presentation of ascending aortic aneurysm, but other syndromes such as vascular Ehlers-Danlos syndrome and Loeys-Dietz syndrome (LDS) also have ascending aortic aneurysms and the associated cardiovascular risk of aortic dissection and rupture. Familial segregation of the risk for ascending aortic aneurysm can also occur in the absence of associated systemic findings of a connective tissue abnormality in patients with familial thoracic aortic aneurysm and dissection (FTAAD) or bicuspid aortic valve with ascending aortic aneurysm (BAV/AscAA). The knowledge gained through basic and clinical research focused on MFS has improved and will continue to improve the care of patients with these related conditions.
Recent paradigm-shifting discoveries about the molecular pathogenesis of MFS have highlighted the need for a focused research agenda to solidify the gains of the past 30 years and set the stage for future advances in MFS and related conditions. In April 2007, the National Heart, Lung, and Blood Institute (NHLBI) and the National Marfan Foundation convened a working group on research in MFS and related disorders to foster a multidisciplinary discussion. The working group, which included experts in cardiovascular disease, developmental biology, genetics and genomics, and
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